﻿<div class="page">
<link href="css/editUser.css" rel="stylesheet" type="text/css" />
    <script src="js/view.pages.editUser.js" type="text/javascript"></script>
<fieldset>
    <legend>Personal Details</legend><span>First Name :</span>
    <input type="text" required="required" />
    <span>Middle Name :</span>
    <input type="text" />
    <span>Last Name :</span>
    <input type="text" required="required" />
    <br />
    <span>Sex :</span>
    <select>
    </select>
    <span>Date of Birth :</span>
    <input type="date" required="required" />
    <br />
    <span>Country :</span>
    <select>
    </select>
    <span>Mobile Number :</span>
    <input type="text" required="required" />
    <br />
    <span>Email id :</span>
    <input type="email" required="required" />
    <span>Alternate Email id :</span>
    <input type="email" />
</fieldset>
<fieldset id="accountFieldset">
    <legend>Account Details</legend><span>User id :</span>
    <input type="text" required="required" />
    <br />
    <span>Password :</span>
    <input type="password" required="required" />
    <br />
    <span>Retype Password :</span>
    <input type="password" required="required" />
</fieldset>
<input type="submit" value="Register" />
</div>